Psychiatry SB document Flashcards
(40 cards)
How do auditory hallucinations in depression differ from those in schizophrenia
Depression - 2nd person derogatory
Schizophrenia - 3rd person
What is psychomotor retardation and which condition is it seen in
Movements may be slowed and the voice quiet and monotonous
Seen in Severe depression
What is the diagnostic criteria for Moderate Depression
at least 2 of the 3 core features
additional symptoms must be present to give a total of 6
What is the diagnostic criteria for Severe Depression
all 3 of the core features
additional symptoms must be present to give a total of 8
What is mood reactivity in the context of Atypical Depression
mood brightens in response to positive events
Which syndrome should you think of from the phrase Nihilistic Delusions
Cotard Syndrome
What is dysthymia
Chronic and prolonged depression which is not severe enough to satisfy the criteria for a depressive episode
When is the average age of onset of bipolar disorder
Late teens or early 20’s
What must a patient have had to be placed in the Bipolar I category
At least 1 episode of Mania
What must a patient have had to be placed in the Bipolar II category
At least 1 episode of Hypomania, having never met the criteria for mania
Manic episodes can arise with or without psychotic symptoms - what are these
Delusions
Hallucinations
What is a contraindication to use of SSRI’s
Mani
Name 4 contraindications to use of TCA’s
recent MI
arrhythmias
severe liver disease
mania
Why should anti-depressants be used with caution in epileptic patients
They lower the seizure threshold
What is the triad of symptoms suggesting serotonin syndrome
Neuromuscular abnormalities
Altered consciousness level Autonomic instability
What is a cardiovascular disease which can occur as a side effect of Clozapine use
Myocarditis
How long does Acute Dystonia take to occur when a patient is put on anti-psychotics
72 hours
Why do extra-pyramidal side effects occur with anti-psychotics
An excess of acetylcholine and relative deficiency of dopamine
How long does Akathisia take to occur when a patient is put on anti-psychotics
within 6-10 days
What types of Schizophrenia indicate use of ECT
Catatonia
Positive psychotic symptoms
Schizoaffective disorder
What is the Hachinski Ischaemic Score used for
To differentiate between Vascular and Alzheimers Dementia
What is the treatment for Alcohol Related Dementia
Pabrinex and Thiamine
How long is treatment indicated for someone with Generalised Anxiety Disorder
At least 18 months
How long is treatment indicated for someone with Generalised Anxiety Disorder
At least 6 months
